Mobile Health Technologies for Suicide Prevention: Feature Review and Recommendations for Use in Clinical Care

Opinion statementMobile devices, and the apps (software applications) that operate on them, have potential to help manage and prevent suicidal behavior by assisting with assessment of risk, providing educational and support information, and facilitating access to safety plans, crisis support, and coping tools. This clinician-friendly review provides an overview of the principal features of currently available mobile health apps that are specially designed for suicide prevention. The use of patient contact interventions (i.e., text messaging and e-mail interventions) on mobile devices is also discussed. Recommendations for selecting and integrating these tools into patient care are provided, along with discussion of emerging capabilities and limitations including the lack of research regarding the clinical effectiveness of mobile health apps. The topics presented should be informative to individual practitioners as well as health care organizations that are considering adopting these technologies into their services.

[1]  Jennifer D. June,et al.  Social media and suicide: a public health perspective. , 2012, American journal of public health.

[2]  D. Luxton,et al.  mHealth data security: the need for HIPAA-compliant standardization. , 2012, Telemedicine journal and e-health : the official journal of the American Telemedicine Association.

[3]  Regina T. P. Aguirre,et al.  Development Guidelines from a Study of Suicide Prevention Mobile Applications (Apps) , 2013 .

[4]  A. Wenzel,et al.  Cognitive Therapy for Suicidal Patients: Scientific and Clinical Applications , 2008 .

[5]  Rory C O'Connor,et al.  The Role of Mobile Phone Technology in Understanding and Preventing Suicidal Behavior. , 2015, Crisis.

[6]  Louis-Philippe Côté,et al.  Suicide Prevention and New Technologies: Towards Evidence Based Practice , 2013 .

[7]  Jennifer D. June,et al.  Can postdischarge follow-up contacts prevent suicide and suicidal behavior? A review of the evidence. , 2013, Crisis.

[8]  Russell A. McCann,et al.  mHealth for mental health: Integrating smartphone technology in behavioral healthcare. , 2011 .

[9]  D. Bates,et al.  In search of a few good apps. , 2014, JAMA.

[10]  Sriram Chellappan,et al.  Detecting self-harming activities with wearable devices , 2015, 2015 IEEE International Conference on Pervasive Computing and Communication Workshops (PerCom Workshops).

[11]  Akane Sano,et al.  Intelligent Mobile, Wearable, and Ambient Technologies for Behavioral Health Care , 2016 .

[12]  J A Motto,et al.  A randomized controlled trial of postcrisis suicide prevention. , 2001, Psychiatric services.

[13]  H. Christensen,et al.  Smartphones for Smarter Delivery of Mental Health Programs: A Systematic Review , 2013, Journal of medical Internet research.

[14]  Paul Thompson,et al.  Public Health Surveillance: Predictive Analytics and Big Data , 2016 .

[15]  Albert A. Rizzo,et al.  An Intelligent Virtual Human System for Providing Healthcare Information and Support , 2011, MMVR.

[16]  A. Beck,et al.  A cognitive therapy intervention for suicide attempters: An overview of the treatment and case examples , 2004 .

[17]  D. Moskowitz,et al.  Ecological momentary assessment: what it is and why it is a method of the future in clinical psychopharmacology. , 2006, Journal of psychiatry & neuroscience : JPN.

[18]  Glenn Albright,et al.  Using an Avatar-Based Simulation to Train Families to Motivate Veterans with Post-Deployment Stress to Seek Help at the VA. , 2012, Games for health journal.

[19]  Jennifer D. June,et al.  Technology-based suicide prevention: current applications and future directions. , 2011, Telemedicine journal and e-health : the official journal of the American Telemedicine Association.

[20]  J. Motto Suicide prevention for high-risk persons who refuse treatment. , 1976, Suicide & life-threatening behavior.

[21]  Jennifer D. June,et al.  Caring Letters Project: a military suicide-prevention pilot program. , 2012, Crisis.

[22]  Derek J Smolenski,et al.  Caring letters for suicide prevention: implementation of a multi-site randomized clinical trial in the U.S. military and Veteran Affairs healthcare systems. , 2014, Contemporary clinical trials.

[23]  D. Luxton Artificial intelligence in behavioral and mental health care , 2016 .

[24]  D. Luxton An Introduction to Artificial Intelligence in Behavioral and Mental Health Care , 2016 .

[25]  S. Berrouiguet,et al.  Post-acute crisis text messaging outreach for suicide prevention: A pilot study , 2014, Psychiatry Research.

[26]  Brian L. Mishara,et al.  Suicide Prevention and New Technologies , 2013 .

[27]  B. Mishara,et al.  A pilot study of mobile telephone message interventions with suicide attempters in China. , 2010, Crisis.

[28]  A. Haines,et al.  The Effectiveness of Mobile-Health Technology-Based Health Behaviour Change or Disease Management Interventions for Health Care Consumers: A Systematic Review , 2013, PLoS medicine.

[29]  Enrique Baca-Garcia,et al.  Siam (Suicide Intervention Assisted by Messages): the Development of a Post-acute Crisis Text Messaging Outreach for Suicide Prevention , 2015, European Psychiatry.